Individual
MR. STEPHEN J MIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
694 MOTOR PARKWAY, HAUPPAUGE, NY 11788
(631) 265-9355
Mailing address
27 JEFFERSON STREET, NESCONSET, NY 11767
(631) 428-3923
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
015314
NY
Other
Enumeration date
10/31/2011
Last updated
09/23/2014
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